Amy Lynne Fontanez, RD, LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007554 Issued in PA

Practice address

3456 Bethlehem Pike FL 1
Souderton, PA 18964-1051

Phone

(215) 385-2936

NPI assigned

Oct 24, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amy Lynne Peca Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand View Hospital

  • Registered Dietitian
  • Sellersville, PA
  • NPI 1386082162

  Dietitian, Registered

  Medicare reassignment NPD
• Grand View Hospital

  • Neurology Physician
  • Sellersville, PA
  • NPI 1699321570
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1669244620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 BETHLEHEM PIKE FL 1",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641051",
            "telephone_number": "215-385-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 BETHLEHEM PIKE FL 1",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641051",
            "telephone_number": "215-385-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "RD, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PECA",
            "middle_name": "LYNNE",
            "credential": "RD, LD/N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colleen C Farrell, MD
• Olivia J Fieo, RD, LDN
• Kathleen Filograna, MD
• Firely Pediatric Services
• Shane Christopher Foisy
• Foot and Ankle Associates LLP
• Foot and Ankle Associates LLP
• Ellen Juliet Foraker, LPC
• Kathleen Page Franks, PA-C
• Brenda Garcia-Tscherne, PT, DPT

• Registered Dietitian in Souderton, PA
• Providers in Souderton, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.